Active NPI
Kyra Viveiros, LMT
- Massage Therapist
- Kaneohe, HI
National Provider Identifier
1104583004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAT-12986
- Practice address
- 46-005 Kawa St Ste 306
Kaneohe, HI 96744-3813 - Phone
- (808) 679-2484
- NPI assigned
- Nov 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAT-12986 | HI | Primary |
Addresses
Primary practice location
46-005 Kawa St Ste 306
Kaneohe, HI 96744-3813
Mailing address
437 Hualani St Apt C
Kailua, HI 96734-2291
Phone (808) 679-2484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAT-12986 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637884800000",
"number": "1104583004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "437 HUALANI ST APT C",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342291",
"telephone_number": "808-679-2484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46-005 KAWA ST STE 306",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443813",
"telephone_number": "808-679-2484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIVEIROS",
"first_name": "KYRA",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-26",
"last_updated": "2021-11-26",
"certification_date": "2021-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAT-12986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.